Homestead_Deal H. PREPARER .
Preparer of the Sales Disclosure Form Title
Sherry Boatwright Settlement&Quality Assurance
Company
Address(number and street,city,state,country,and ZIP Code)
3930 Mezzanine Dr, Suite C, Lafayette, IN 47905
I.SELLER(S)IGRANTOR(S) :
Seller 1-Name as It appears on conveyance document Seller 2-Name as appears on conveyance document
Thomas L. Sisson Phyllis A. Sisson
Address(number and street) Address(number and street)
500 Pleasant View Drive 500 Pleasant View Drive
City,state,and ZIP Code City,state,and ZIP Code
Evansville, IN 47711 Evansville, IN 4771
Country Country
USA USA
Under penalties of perjury,I hereby certify this Sales Disclosure,to the Best of my knowledge and belief,is true,correct and complete as '
required by law,and is prepared In accordance with IC 6-1.1.6.5.A person who knowingly and intentionally falsifies the value of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 6 felony. .
Signatureur of Seller S u f Seller, .JOWL'
of ISh7 er Date si ned mm/dd/ Pri e a of Seller ' Date si ned mm/dd/
Printed Nameg (mm/dd/yyyy) � 9 ( yyYy)
Thomas L. Sisson 2/4/2021 Phylli- A. Sisson 2/4/2021
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY
Buyer 1-Name as It appears on conveyance document Buyer 2-Name as it appears on conveyance document
Ryan Deal Sarah Deal
Address(number and street) Address(number and street)
4591 East 1300 South 4591 East 1300 South
City,state,and ZIP Code City,state,and ZIP Code
Evansville, IN 47725 Evansville, IN 47725
Country Country
USA USA
.
Pu -uant to IC 6-1.1-12-44,t e Sales Disclosure Form may be used to apply for certain,eductions.Identify all of those that apply: ci: -
YES NO CONDITION YES NO CONDITION 00
co
(A 0 1.Will this property be the buyer's primary i i 0 3.Homestead zCD 111
residence? 0 I21 4.Solar Energy Heating or Cooling System 8 CrH
z J ti
2.Does the buyer have a homestead to be vacated 0 WI 5.Wind Power Device N
12( 0 ril
for this residence?If yes,provide address: 0 (itf 6.Hydroelectric Power Device a
Address(num r and street) r ,. - I 0 (if 7.Geothermal Energy Heating or Cooling DiaQ
City,state,and,ZIP Code ) County 73
4ry,I , n �)k (,,,j/ji j/6 26-23-14-400-000.926-024 cco
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